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BBN Problem Collegue

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3 views2 pages

BBN Problem Collegue

Uploaded by

vugar74aghazada
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Breaking Bad News

Part N1

History Taking
Medical Social
History of presenting Complaint Are you the next of kin?
Past medical history Any lasting power of attorney?
Advanced directive
Who the patient lives with?
Who do you live with?
Do you have kids?
Do you have siblings?
Any close family nearby?
How are you managing financially?
Any other responsibilities you have?

Part N2

Breaking Bad News


1. I have important news regarding your husband`s condition, is this a good
time for the discussion?
2. For this kind of difficult discussions people want somebody close to be with
them, is there anyone that you would like to call?
3. Storytelling…...unfortunately the CT scan showed that your husband has a
massive bleed in his brain, I`m very sorry to say that your husband is in
terminal condition (Critical)

Part N3
Management
1. MDT decision
2. Explain palliative care
3. Social management – Dementia UK, carer
Problem Collegue

-Introduction
I`m one of the FY2s
Friendly, Smiley
-Ice breaker line
Do you have any idea why I wanted to talk to you?
Is there anything difficult going on that I can help you with?
-I`m sorry to say I have noticed alcohol/sniffing…
I`m here to help
I`m concerned about patients` safety
We`re on the same boat
We`re team, I`m worried about you
I understand this is not a pleasant topic/uncomfortable for you to talk about
I`m sorry to say but nurses have noticed it as well (if given in the stem)
-Once opened up, explore
What do you drink? How much do you drink? Since when do you drink? What
else do you drink?
Reassure
Anything can happen, I just don`t want you to risk your career and license
-Not professional / put your reputation at risk / patient will not trust us / agains
good medical practice

If case tells you doctor was drinking/sniffing then review their patients and
ask them to go home
Escalate to senior

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